<abstract xmlns="http://www.w3.org/1999/xhtml"><sec><h3>Introduction</h3><p>Migraine is associated with significant morbidity and a significantly negative impact on the quality of life. A better understanding of the economic impact of migraine is becoming increasingly important. This paper aims to shed light on absenteeism and presenteeism costs of migraine in Slovenia.</p></sec><sec><h3>Methods</h3><p>We use the administrative national-level database on sick leave due to migraine for 2016. The absenteeism cost estimate is based on the number of patients with migraine on physician-determined sick leave and average daily labour costs. We calculate productivity costs from a social perspective regardless of who incurs them. Data from the national registry on sick leave are coupled with data from a web-based self-reported survey to also include the cost of presenteeism. MIDAS and WPAI presenteeism items were used and several different scenarios were designed to assess presenteeism costs.</p></sec><sec><h3>Results</h3><p>We estimated annual absenteeism costs per absentee due to migraine at the amount of EUR 531 in 2016 using the NIPH’s administrative data on sick leave. Annual absenteeism costs per absentee due to migraine based on self-reported data amounted to EUR 626. The estimated annual presenteeism costs per patient range from EUR 344 – 900.</p></sec><sec><h3>Conclusion</h3><p>Estimating the economic burden of a disease is becoming increasingly important. This paper is an insight into the absenteeism and presenteeism costs of migraine in Slovenia.</p></sec></abstract>

IntroductionMigraine is associated with significant morbidity and a significantly negative impact on the quality of life. A better understanding of the economic impact of migraine is becoming increasingly important. This paper aims to shed light on absenteeism and presenteeism costs of migraine in Slovenia.MethodsWe use the administrative national-level database on sick leave due to migraine for 2016. The absenteeism cost estimate is based on the number of patients with migraine on physician-determined sick leave and average daily labour costs. We calculate productivity costs from a social perspective regardless of who incurs them. Data from the national registry on sick leave are coupled with data from a web-based self-reported survey to also include the cost of presenteeism. MIDAS and WPAI presenteeism items were used and several different scenarios were designed to assess presenteeism costs.ResultsWe estimated annual absenteeism costs per absentee due to migraine at the amount of EUR 531 in 2016 using the NIPH’s administrative data on sick leave. Annual absenteeism costs per absentee due to migraine based on self-reported data amounted to EUR 626. The estimated annual presenteeism costs per patient range from EUR 344 – 900.ConclusionEstimating the economic burden of a disease is becoming increasingly important. This paper is an insight into the absenteeism and presenteeism costs of migraine in Slovenia.

Productivity Losses Due to Migraine in Slovenia: An Analysis of Absenteeism and Presenteeism Costs Based on Administrative and Self-Reported Data

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

STROŠKI IZGUB PRODUKTIVNOSTI ZARADI MIGRENE V SLOVENIJI: ANALIZA STROŠKOV ABSENTIZMA IN PREZENTIZMA NA PODLAGI PODATKOV IZ ADMINISTRATIVNEGA VIRA IN ANKETE

IntroductionMigraine is associated with significant morbidity and a significantly negative impact on the quality of life. A better understanding of the...

Average number of migraine days per month	Scenario

	Min	Middle	Max
Less than 4 days	1	2	3
4–7 days	4	5.5	7
8–14 days	8	11	14
15 or more days	15	18.5	22

	Gender

	Female	Male	Total
Average length of sick leave (days)	5.65	5.96	5.70
Average annual cost per absentee¹	527	555	531
Gender-specific average annual cost per absentee²	510	571	519
Total annual absenteeism cost¹	784,735	141,027	925,762
Gender-specific total annual absenteeism cost²	759,141	144,961	904,102

Scenario	Average annual cost based on overall labour cost (EUR)¹			Average annual cost based on gender-specific labour cost (EUR)²

	Female	Male	Total	Female	Male	Total
Min	401	267	364	388	275	357
Middle	668	503	623	646	517	611
Max	950	767	900	919	789	883

	Gender

	Female	Male	Total
Average annual number of days with substantially reduced productivity	7.27	8.10	7.50
General average annual cost per patient¹	339	378	349
Gender-specific average annual cost per patient²	328	388	344

Productivity Losses Due to Migraine in Slovenia: An Analysis of Absenteeism and Presenteeism Costs Based on Administrative and Self-Reported Data

Article Category: Original scientific article

Published Online: Apr 06, 2020

Page range: 75 - 82

Received: Jun 17, 2019

Accepted: Jan 21, 2020

DOI: https://doi.org/10.2478/sjph-2020-0010

Keywords
migraine, economic burden of illness, absenteeism, presenteeism, indirect costs

© 2020 Aleša Lotrič Dolinar et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Figure 2

Intervals for the average number of migraine days per month and the assigned value under different scenarios.

Absenteeism costs for migraine in Slovenia, full-time employees, 2016, EUR.

Estimated annual presenteeism cost per patient, three scenarios, Slovenia, 2016, EUR.

Estimated annual presenteeism cost per patient based on the number of days with 50% productivity impairment, Slovenia, 2016, EUR.

Productivity Losses Due to Migraine in Slovenia: An Analysis of Absenteeism and Presenteeism Costs Based on Administrative and Self-Reported Data

Article Category: Original scientific article

Published Online: Apr 06, 2020

Page range: 75 - 82

Received: Jun 17, 2019

Accepted: Jan 21, 2020

DOI: https://doi.org/10.2478/sjph-2020-0010

Keywordsmigraine, economic burden of illness, absenteeism, presenteeism, indirect costs

© 2020 Aleša Lotrič Dolinar et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Figure 2

Intervals for the average number of migraine days per month and the assigned value under different scenarios.

Absenteeism costs for migraine in Slovenia, full-time employees, 2016, EUR.

Estimated annual presenteeism cost per patient, three scenarios, Slovenia, 2016, EUR.

Estimated annual presenteeism cost per patient based on the number of days with 50% productivity impairment, Slovenia, 2016, EUR.

Keywords
migraine, economic burden of illness, absenteeism, presenteeism, indirect costs